@article{ref1,
title="A community program of integrated care for frail older adults: +AGIL Barcelona",
journal="Journal of nutrition, health, and aging",
year="2019",
author="Pérez, L. M. and Enfedaque-Montes, M. B. and Cesari, M. and Soto-Bagaria, L. and Gual, N. and Burbano, M. P. and Tarazona-Santabalbina, F. J. and Casas, R. M. and Diaz, F. and Martin, E. and Gomez, A. and Orfila, F. and Inzitari, M.",
volume="23",
number="8",
pages="710-716",
abstract="OBJECTIVES: To assess the 3-month impact on physical function of a program for community-dwelling frail older adults, based on the integration of primary care, geriatric medicine, and community resources, implemented in &quot;real life&quot;. <br><br>DESIGN: Interventional cohort study. SETTING: Primary care in Barcelona, Spain. PARTICIPANTS: Individuals aged ≥80 years (n=134), presenting at least one sign of frailty (i.e., slow gait speed, weakness, memory complaints, involuntary weight loss, poor social support). INTERVENTION: After frailty screening by the primary care team, candidates were referred to a geriatric team (geriatrician + physical therapist), who performed a comprehensive geriatric assessment and designed a tailored multidisciplinary intervention in the community, including a) multi-modal physical activity (PA) sessions, b) promotion of adherence to a Mediterranean diet c) health education and d) medication review. MEASUREMENTS: Participants were assessed based on a comprehensive geriatric assessment including physical performance (Short Physical Performance Battery -SPPB- and gait speed), at baseline and at a three month follow-up. <br><br>RESULTS: A total of 112 (83.6%) participants (mean age=80.8 years, 67.9% women) were included in this research. Despite being independent in daily life, participants' physical performance was impaired (SPPB=7.5, SD=2.1, gait speed=0.71, SD=0.20 m/sec). After three months, 90.2% of participants completed ≥7.5 physical activity sessions. The mean improvements were +1.47 (SD 1.64) points (p<0.001) for SPPB, +0.08 (SD 0.13) m/sec (p<0.001) for gait speed, -5.5 (SD 12.10) sec (p<0.001) for chair stand test, and 53% (p<0.001) improved their balance. <br><br>RESULTS remained substantially unchanged after stratifying the analyses according to the severity of frailty. <br><br>CONCLUSIONS: Our results suggested that a &quot;real-world&quot; multidisciplinary intervention, integrating primary care, geriatric care, and community services may improve physical function, a marker of frailty, within 3 months. Further studies are needed to address the long-term impact and scalability of this implementation program.<p /> <p>Language: en</p>",
language="en",
issn="1279-7707",
doi="10.1007/s12603-019-1244-4",
url="http://dx.doi.org/10.1007/s12603-019-1244-4"
}